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NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 (spring 2022) CA$26.13   Add to cart
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NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 (spring 2022)

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  • Course
  • NURS 5335 Family 2 (NURS5335)
  • Institution
  • University Of Texas - Arlington

NURS 5335 family 2 Study Guide EENT Family Nursing II Modules 1&2 Non-Ulcerative: A/W seborrhea; seen commonly with trisomy 21; affects those with psoriasis, seborrhea, eczema, allergies and lice. Chemical and environmental irritants contribute Ulcerative:Involves the lash follicle & the Meibom...

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  • February 20, 2022
  • 23
  • 2021/2022
  • Other
  • Unknown

Subjects

  • seborrhea
  • eczema
  • nurs 5335 family 2 study guide eent family nursing ii modules 1amp2
  • non ulcerative aw seborrhea seen commonly with trisomy 21 affects those with psoriasis
  • allergies and lice

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  • University Of Texas - Arlington
  • NURS 5335 Family 2 (NURS5335)
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NURS 5335 family 2 Study Guide EENT
Family Nursing II Modules 1&2
Non-Ulcerative: A/W seborrhea; seen commonly with trisomy 21; affects those with psoriasis,
seborrhea, eczema, allergies and lice. Chemical and environmental irritants contribute

Ulcerative:Involves the lash follicle & the Meibomian glands of the eyelid.May be pustules at
the base of the hair follicle that crust & bleed.Lashes break easy.
- Blepharitis

Blepharitis treatment
- TX: Warm compress; daily lid scrubs; erythromycin, quinolone or bacitracin ophthalmic
ointment for anterior blepharitis.

Consider oral ABX for resistance (Doxycycline or Tetracycline)
Disinfect contacts
Lid massages

hordeolum age group?
- More common in children and adolescents

hordeolum s/s?
- Localized tenderness, erythema, edema of eyelids; internal lesions pointing to external or
internal eyelid surface; external lesions pointing to eyelid margin
Pain

Ocular rosacea

Contact dermatitis,
Atopic Kerato-conjunctivitis,
Herpes simplex infection,
Preseptal cellulitis,
Acute dacryocystitis,
- differentials of hordeolum

differentials of hordeolum - blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
Squamous cell carcinoma,

,Dry eye syndrome,
Conjunctivitis,

blepharitis - Ocular burning, eyelid margins red w/ scaling or crusting
Pain
Itching, tearing, chalazia, recurrent styes, photophobia, small ulceration at eyelid margin, broken
or absent eyelashes

hordeolum - (stye) red, painful pustule that is a localized infection of hair follicle at eyelid
margin. The most common associated organism is Staphylococcus aureus

TX: Warm compress; lid scrubs for recurrent lesions - Hordeolum tx

chalazion - a nodule or cyst, usually on the upper eyelid, caused by an obstruction in a sebaceous
gland A granulomatous infection of a Meibomian gland

Nontender chronic lesions; bump - Chalazion is More common in adults and S?S

TX: Warm compress; daily lid scrubs; lid message; intralesional steroid injection - Chalazion

Conjunctivitis - Refer to ophthalmology for

viral herpetic conjunctivitis w/RED FLAGS

Inflammation of the conjunctiva covering the front of the eye from a causative agent (bacteria,
virus, allergen) - Conjunctivitis

Conjunctivitis - Allergic conjunctivitis is seen more in Spring and Summer.

Bacterial is seen more in pediatric population.

Conjunctivitis - ALLERGIC: Pruritus; conjunctival hyperemia, chemosis; a watery or stringy
discharge

BACTERIAL: Photophobia w/ blepharospasm; mucopurulent discharge w/ eyelash mattering;
edema; hyperemia; preauricular adenopathy only w/ hyperacute disorder

VIRAL: Acute onset often A/W systemic illness; photophobia or foreign body sensation;
preauricular adenopathy; hyperemia; chemosis; watery discharge; classic dendritic corneal lesion
present w/ herpes simplex; periocular lesions present w/ herpes zoster opthalmicus

, ALLERGIC: Conjunctivitis - Pruritus; conjunctival hyperemia, chemosis; watery or stringy
discharge
Topical antihistamine/oral antihistamine or topical vasoconstrictor decongestant antihistamine
(OTC) drops: o Naphazoline hydrochloride 0.025% (Naphcon-A) o Naphazoline- antazoline
0.3% (Vasocon-A) o Levocabastine hydrochloride 0.05% (Livostin) o Emedastine 0.05%
(Emadine) mast cell stabilizers: o Olopatadine 0.1% (Palatal) o Azelastine 0.05% (Optivar) 1st
line = prevention; avoid whatever allergen is triggering conjunctivitis

BACTERIAL:Conjunctivitis - Photophobia w/ blepharospasm; mucopurulent discharge w/
eyelash mattering; edema; hyperemia; preauricular adenopathy only w/ hyperacute disorder
Caused by staph, strep, h flu, and m catarrhalis, Pseudomonas (contact lens wearers), gonorrhea
****Staph aureus (more common in adults)
Eye drops or ointment:
o Polytrim/trimethoprim/polymyxin o Erythromycin o Tobramycin o Gentamicin o Sodium
sulfacetamide o Ciprofloxacin o Fluoroquinolones-(**1st line for contact users) o Ointment over
drops for children

VIRAL:conjunctivitis - the second eye usually infected after 24-48 hrs
itchy eyes.
Tearing.
Redness.
Discharge.
Sandy, gritty
Light sensitivity (when corneal involvement is present)

TX: Antihistamine/decongestant drops o Trifluridine (herpes conjunctivitis)

enlarged or tender preauricular node; initially unilateral, then bilateral caused from adenoviruses,
coxsackie virus, varicella, herpes, and herpes zoster § fluorescein stain= dendrites-----
****Referral to opthamologist

Red flags in conjunctivitis: - Diminished visual acuity, photophobia, severe foreign body
sensation preventing pt from keeping eye open, corneal opacity, fixed pupil, or severe HA with
nausea

corneal abrasion - Partial or complete defect in the epithelial layer of cells after traumatic event
or overexposure to sunlight

Corneal Abrasion

Fluorescein stain, C&S for - Overexposure to sunlight, sports, failure to wear eye protection

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